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Glc Wellness Center Chicago

Clinic/Center, Health Services in Lombard, IL. Organization (NPI-2).

NPI number1306468988
StatusActive
Last updated in NPPESJul 21, 2020

Details

NPI
1306468988
Entity type
Organization (NPI-2)
Legal business name
Glc Wellness Center Chicago
Organization subpart
No
Enumeration date
May 17, 2020
Certification date
Jul 21, 2020
Last updated
Jul 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
171M00000X Case Manager/Care Coordinator––
251B00000X Case Management––
251S00000X Community/Behavioral Health––
261QC1500X Clinic/Center, Community Health––
261QF0050X Clinic/Center, Family Planning, Non-Surgical––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880

Phone 312-999-0808

Mailing address

Po Box 3543
Oak Brook, IL 60522-3543

Phone 312-730-4355

Authorized official

Nancy Griffin
Ceo
3127304355

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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